MALA MATURE ADULTS LEARNING ASSOCIATION INC. ENROLMENT FORM Wednesday: 22nd October - 19th November 2014 Murdoch University, Dixon Road, Rockingham Nam e ………………………..………………………………………………………….…………… Address ………...…………………………………………………………………...….….…….… Suburb ……………………….………………..………….…… Postcode ………………....…… Telephone …...……………………………………………...………………………………….….. eMail ………....……………………………………………...………………………………….….. Member NonMember Session Time Cryptic Crosswords For Beginners Monty Edwards $35 $45 9.30am 11.00am iPad Made Easy Sheena Edwards $35 $45 9.30am 11.00am Let’s Get Drawing Peter Fitzsimmons $35 $45 11.30am 1.00pm Chess: How To Get On Board Monty Edwards $35 $45 1.30pm 3.00pm Topic / Presenter Tick box(es) for Course(s) of choice Total Fee Please note: 1. MALA Rockingham reserves the right to cancel a course if insufficient enrolments received. Under this circumstance all fees paid will be refunded in full. 2. Fees will not be refunded if student changes her/his mind or does not attend class(es). Queries / contact: Esther - 9528 7133 Post form to 26 Safety Bay Road, Rockingham, Western Australia 6168 or Scan and email to [email protected] Payment Post cheque made payable to MALA Rockingham to above address or pay on first day of Course Receipt No. Date Treasurer